Question

Renee is a 22-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy has been complicated by mild hypertension, but no medications were needed. She is 4 cm/100/0 station, vertex position. Her membranes have just ruptured, and there is thick meconium staining. She is comfortable and is using epidural anesthesia.

Answer the following

1. What risk factors are present that may affect the way this fetus tolerates labor?

2. The fetal heart rate shows a rate of 140, moderate variability, no accelerations, and decelerations to 120, beginning after the peak of most contractions and recovering to baseline 30 seconds after the contraction ends. Contractions are every 4 minutes. How should the nurse describe this pattern?

3. What should the nurse do at this point?

4. Renee is now 8/100/0. She is in the left lateral position with oxygen at 8 liters/minute. The fetal heart rate is 145 bpm. There is moderate variability. Accelerations are not present. There are decelerations in the fetal heart rate beginning at the onset of a contraction, descending to 120 with recovery by the end of a contraction. The contractions are every 3 minutes now. How would the nurse describe the fetal heart rate pattern now?

5. Renee is now completely dilated and +1 station. She has been instructed to push with every contraction. The fetal heart rate is now 164 bpm. There is absent variability and decelerations to 120 are occurring with maternal pushing, which do not resolve until 30 seconds after the contraction. The contractions are every 1½ minutes. How should the nurse describe this pattern?

6. What should the nurse do in this situation?

Answer 1

1. What risk factors are present that may affect the way this fetus tolerates labour?

The risk factors present in the labour for the foetus is the risk of meconium aspiration, the foetus may chance to aspirate the meconium during the labour.

2. The fetal heart rate shows a rate of 140, moderate variability, no accelerations, and decelerations to 120, beginning after the peak of most contractions and recovering to baseline 30 seconds after the contraction ends. Contractions are every 4 minutes. How should the nurse describe this pattern?

Your doctor will be looking for different kinds of heart rates, including accelerations and deceleration. In normal stage there is no decleration early decleration that is jst after contraction is suggestive of fetal hypoxia.

Expeditious Operative vaginal delivery or cesarean delivery, if the above mentioned intrauterine resuscitative measure is not improving the fetal heart rate tracing and there is persistence late deceleration with loss of variability.

From this, we can interpret that this, is a late deceleration of fetal heart rate.

3. What should the nurse do at this point?

The fetal heart rate shows a rate of 140, moderate variability, no accelerations, and decelerations to 120, beginning after the peak of most contractions and recovering to baseline 30 seconds after the contraction ends. Contractions are every 4 minutes. In this stage, it is very difficult to deliver the baby advice her to provide oxytocin drip in order to improve contraction. Monitor the vital every 15 minutes.

4. Renee is now 8/100/0. She is in the left lateral position with oxygen at 8 litres/minute. The fetal heart rate is 145 bpm. There is moderate variability. Accelerations are not present. There are decelerations in the fetal heart rate beginning at the onset of a contraction, descending to 120 with recovery by the end of a contraction. The contractions are every 3 minutes now. How would the nurse describe the fetal heart rate pattern now?

The foetal heart rate is 145 beats per minute and there is no acceleration and degeneration begin 120 minutes at the end of the contraction, so the foetal heart rate is increasing while the deceleration begins. In the later stage, the foetal heart rate will be increased.

5. Renee is now completely dilated and +1 station. She has been instructed to push with every contraction. The fetal heart rate is now 164 bpm. There is absent variability and decelerations to 120 are occurring with maternal pushing, which does not resolve until 30 seconds after the contraction. The contractions are every 1½ minutes. How should the nurse describe this pattern?

This is the peak stage for the reens because of here, the cervix is fully dilated and the head is +1 station and foetal heart rate is 164bpm, analyzes heart rate with fetal movements.

The contractions are occurring within and half min.

6. What should the nurse do in this situation?

* start oxygen administration at rate of 6-8 litres/min .

* oxygen drip

* episiotomy prepare for the normal delivery

* monitor blood pressure.